Individual provider · Type 1 NPI

Kelley Bergeson, NP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1679015218 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP131383 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679015218

Kelley Bergeson, NP's National Provider Identifier is 1679015218, issued on Nov 14, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Nov 14, 2016.